NPI 1073100582

Coal Mountain Laboratory

Organisation Clinical Medical Laboratory Charleston, WV

Practice location

Address: 5321 Maccorkle Ave SE, Charleston, WV 25304-2221
Phone: (502) 235-5795
Mailing address: 10928 Worthington Ln, Prospect, KY 40059-9590

Authorised official

Name: Nick Pfeiffer
Title: Ceo
Phone: (502) 235-5795

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in West Virginia →

Registry record

NPI: 1073100582
Entity type: Organization
NPI issued: 30 Dec 2020
Record last updated: 5 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.